HomeMy WebLinkAboutPermit Building 2002-4-24
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Job# 02-00234-01
Page 1 of 3
TRANS# : 01--0008720
DATE:APR 24 2002
AMT REeD;2 $ 246,22
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00234-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1054. R St Spr
Assessors Map#: 17032614
Lot: Block: Addition:
Tax Lot #: 01901
Subdivision:
Owner:
Housing Authority and Comm Srvs
Phone Number:
Address: 172 E 8th Ave City/State/Zip: Eu~ne, OR 97402
Scope Of Work: Apartment Alteration f:J~O-v. ~~~~e: $9,785
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Remove old exterior light poles and replace with ne~ ~0~0i~~:-:...~tions.
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Contractor Type Contractor 0\~~~~t~ o,'E'~~~~ Date
_"~' ^<;;l;:,.,1.~ ~o . 0<?J '\.0 ~.t\~
General Contr L H Morris Electric Inc .\~' '?J.ovr~J~-s' o~~ .,\\,~/~ 0.5
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483 Shelley St, Springfield, OR,,'(;.. ~~ (j0~):j ~~'\:; ~o '0~'\ ~f?:J
97477-1966 ~ ~O~ ~O~ ~~ :..\ O'() 0~'~ o'\:; o.<?:J~
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L H Morris Electriclnc . O~~ ~ <?j ~ \f8~82i 00" ,,9:>(j' 6/8./2005
483 Shelley St, Springfield, OR~~O~~~~~~o~-s' 0~''?>
97477-1966 ,,()~<?j ~'\ 0~ 0~
v (''<J (J
Office Use"\,): .
Phone
541-747-0811
Electrical Contr
541-747-0811
(VN) Wood Frame
Land Use:
Zoning Code:
Bedrooms:
Range:
.,,\l
< ..,;'{ '-# Qf Buildings:
A") . .
,~' Occupancy Group:
e,'<!:'c" .Heat Source:
....,...... ., ..
\ <:./.' .:. ,,'Sq. Footage:
1'\ ~ -- ..,-'".......
Hotels, Apartment
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
,Y1'::"'-":..J' . ";---,'\ ....../.?'...... .'
To request an inspection call the 24 hour recordipg;at 72~-3769.,' All inspections reqliested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
, . .).
working day. . '. '.' .~')' \. -;:.~.:~
~I<(v'
Required Insp~ctions
. '.. ,,,
I Buildiii';(
-After trenches are excavated~"-
Footing
SUB. Final
Final Building
-When all required inspections have been approved and the building is complete.
Electrical
Rough Electrical
Final Electrical
- Prior to cover.
- When all electrical work is complete.
oj'
Zoning:
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
I Job# 02-00234-01
Overlay District:
# of Street Trees:
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups: Hotels, Apartments
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: Accessory:
Fee
Residential Plan Check.
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Branch Circuits WIO Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Grand Total
Plan Check Type
Checked By
Initial Review-C/I/P
Lisa Hopper
Liz Miller
Planning-C/I/P
Structural-C/IIP
SUB - Comm/lnd
Tom Marx
Jack Foster
SUB - Comm/lnd
Lisa Hopper
Flood Plain FEMA:
# Of Stories:
Current Units:
Census Code: Does not apply
Page 2 of 3
Land Use:
Pave Driveway? D
Height (feet):
Proposed Units:
Total:
Paid On Receipt#
Plan Check
04/24/2002 8720
Building
04/24/2002 8720
04/24/2002 8720
04/24/2002 8720
Electrical
04/24/2002 8720
04/24/2002 8720
04/24/2002 8720
04/24/2002 8720
Date Completed
Comment
03/06/2002
03/07/2002
Value/Quantity
Fee Amount
9J85
$69.81
$69.81
9,785
$107.40
$7.52
$8.59
$123.51
2
$.00
$46.00
$3.22
$3.68
$52.90
$246.22
Lighting must be designed to reflect away from
any less intensive use (such as single family
. housing) and public rights of way.
04/22/2002
03/25/2002
Pass energy code review. Exterior lighting
only
Form 5a faxed to LH Morris to complete for
SUB
03/06/2002
.;;,.'
Job# 02-00234-01 I Page 3 of 3
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
during const[ ;on. . .
/tA-0;Jl(J 4,.. LA: ~o"2_
Signature
Date